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author:

Li, Dongming (Li, Dongming.) [1] | Wang, Zhijiong (Wang, Zhijiong.) [2] | Wang, Han (Wang, Han.) [3] | Hang Pun, Sio (Hang Pun, Sio.) [4] | Un Mak, Peng (Un Mak, Peng.) [5] | Zhang, Anguo (Zhang, Anguo.) [6] | Liu, Yu (Liu, Yu.) [7] | Li, Hung-Chun (Li, Hung-Chun.) [8] | Gao, Yueming (Gao, Yueming.) [9] | Du, Min (Du, Min.) [10] | Vai, Mang I (Vai, Mang I.) [11]

Indexed by:

EI

Abstract:

Leadless pacemakers (LCPs) have emerged as a viable solution to mitigate the side effects associated with traditional pacing leads. Nevertheless, the absence of suitable intracardiac communication methods restricts most LCPs to single-chamber pacing. Galvanic conductive communication (GCC) offers a promising approach for achieving intracardiac communication in multichamber LCPs. However, impedance mismatch between the receiver and myocardium during the cardiac cycle can lead to a reduction in path gain, thereby affecting communication stability. This article proposed a dynamic compensation method to reduce impedance mismatch and enhance communication stability. We developed a simplified LCP system with dynamic path gain compensation and validated it on an ex vivo porcine heart dynamic experimental platform. The results demonstrated a path gain improvement of 9.23 dB and a reduction in path gain variation from 3.95 to 0.3 dB. Additionally, the bit error rate (BER) decreased by over 50% across various transmission rates, with the most significant improvement observed at 5 kbps, where it decreased by 82.7%. These findings provide a high-reliability solution for intracardiac communication and establish a foundation for future multichamber sequential pacing applications in LCPs. © 2025 IEEE.

Keyword:

Bit error rate Carrier communication Impedance matching (electric) Pacemakers

Community:

  • [ 1 ] [Li, Dongming]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, China
  • [ 2 ] [Wang, Zhijiong]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, China
  • [ 3 ] [Wang, Han]Fuzhou University, College of Physical and Information Engineering, International Joint Laboratory on Health Intelligent Monitoring Systems, Fujian, Fuzhou; 350108, China
  • [ 4 ] [Hang Pun, Sio]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, China
  • [ 5 ] [Un Mak, Peng]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, China
  • [ 6 ] [Zhang, Anguo]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, China
  • [ 7 ] [Liu, Yu]Tianjin University, School of Microelectronics, Tianjin; 300072, China
  • [ 8 ] [Li, Hung-Chun]Joint Laboratory of Zhuhai UM Science and Technology, Research Institute-Lingyange Semiconductor Inc., Zhuhai; 519031, China
  • [ 9 ] [Gao, Yueming]Fuzhou University, College of Physical and Information Engineering, International Joint Laboratory on Health Intelligent Monitoring Systems, Fujian, Fuzhou; 350108, China
  • [ 10 ] [Du, Min]Fuzhou University, College of Physical and Information Engineering, International Joint Laboratory on Health Intelligent Monitoring Systems, Fujian, Fuzhou; 350108, China
  • [ 11 ] [Vai, Mang I]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, China

Reprint 's Address:

  • [hang pun, sio]university of macau, state key laboratory of analog and mixed-signal vlsi, china

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Source :

IEEE Transactions on Instrumentation and Measurement

ISSN: 0018-9456

Year: 2025

Volume: 74

5 . 6 0 0

JCR@2023

CAS Journal Grade:2

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WoS CC Cited Count:

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ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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